Individual provider Active NPI

Jenna Bagley Hrinda, DMD

  • Dentist
  • Greenfield, MA
National Provider Identifier
1619140613
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19250 Issued in MA
Practice address
207 Silver St
Greenfield, MA 01301-1805
Phone
(413) 772-0842
Fax
(413) 773-5441
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19250 MA Primary

Addresses

Primary practice location

207 Silver St
Greenfield, MA 01301-1805

Mailing address

207 Silver St
Greenfield, MA 01301-1805
Phone (413) 772-0842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150519002070 MA Order and Referring Only - DentistPractitioner - Dentist 1557681384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19250MAMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1619140613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SILVER ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011805",
            "telephone_number": "413-772-0842",
            "fax_number": "413-773-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SILVER ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011805",
            "telephone_number": "413-772-0842",
            "fax_number": "413-773-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRINDA",
        "first_name": "JENNA",
        "middle_name": "BAGLEY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.